Language Therapy
Language difficulties relate to delays in using words, the number of words being used,
the types of words being used, and/or how words are combined in sentences.
Early Language Milestone Examples:
By the end of 3 months, your child should be able to:
Smile when you appear
Make "cooing" sounds
Quiet or smile when spoken to
Seem to recognize your voice
Cry differently for different needs
By the end of 6 months, your child should be able to:
Babble and make a variety of sounds
Use his or her voice to express pleasure and displeasure
Respond to changes in the tone of your voice
Notice that some toys make sounds
Pay attention to music
By the end of 12 months, your child should be able to:
Try imitating speech sounds
Say a few words, such as "dada," "mama," and "uh-oh"
Understand simple instructions, such as "Come here"
Recognize words for common items, such as "shoe"
Turn and look in the direction of sounds
By the end of 18 months, your child should be able to:
Recognize names of familiar people, objects and body parts
Follow simple directions accompanied by gestures
Say as many as eight to 10 words
By the end of 24 months
By 2 years of age, your child should be able to:
Use simple phrases, such as “more milk”
Ask one- to two-word questions, such as “Go bye-bye?”
Follow simple commands and understand simple questions
Speak at least 50 words
By 3 years of age, your child should be able to:
Be understood 75% of the time
Speak in three-word sentences
Use pronouns (“me,” “you,” “it”)
Have a vocabulary of 200 words or more (basically, more than you can count)
Understand prepositions (such as, “put it on the table” or “put it under the bed”)
By 4 years of age, your child should be able to:
Talk about activities at school or at friends' homes
Answer simple “who,” “what,” and “where” questions
Ask “when” and “how” questions
Use pronouns, like I, you, me, we, and they
Use some plural words, like toys, birds, and buses
Generate sentences with 4+ words
By 5 years of age, your child should be able to:
Use sentences that have more than one action word, like jump, play, and get; may make some mistakes, like “Zach got 2 video games, but I got one”
Tell a short story
Maintain a conversation
Talk in different ways based on the listener and place (e.g., shorter sentences with younger children, talking louder outside than inside, etc.)
(Source: The Mayo Clinic).
Language Goal Examples:
Labelling age-appropriate objects
Describing objects
Understanding categories
Using appropriate phrases to request, protest, commenting, and get attention
Understanding and using temporal (now, yesterday, next week, etc.), spatial (in, on, next to, etc.),
and/or quantitative (all, some, rest, etc.) concepts
Asking and responding to WH- (who, what, where, when, why) questions
Describing age-appropriate, multi-step processes (e.g., How do you brush your teeth? How do you make your bed?)